STUDENT REGISTRATION FORM

ICAG THE INSTITUTE OF CHARTERED ACCOUNTANTS [GHANA] Attach 3 passport size

Box GP 4268, Accra, Ghana. Tel: 0544-336701/2, 0277801422-4 photographs
E-mail: info@icagh.com/studentservices@icagh.com
website: www.icagh.com

This form is NOT FOR SALE. All sections must be completed and returned
to ICAG accompanied by non-refundable fee.
SRN

1. SURNAME: ………………………………………………………………………………………………………………………………………………………………

2. OTHER NAMES: ……………………………………………………………………………………………………………………………………………………...

(Mr./Mrs./Miss /Rev./Prof./Dr. - Please circle as appropriate)

3. Date of Birth: ……………………………………………………………………………………Age: …………….. Sex: M F

4. Postal Address: ………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………..
Note: All correspondence will be posted through the above address

5. Mobile No. …………………………………………………………………. Email: ……………………………………………………………………………

6. Educational Qualification:

i) ………………………………………………………………………………………………………………………………………………………………......

ii) …………………………………………………………………………………………………………………………………………………………………….

iii) …………………………………………………………………………………………………………………………………………………………….
7. Name and address of Employer/School (if applicable)

…………………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………

8. Telephone: ………………………………………………………………… Email: ……………………………………………………………………………..

9. I hereby apply to be registered as a student of the 10. Details of a Referee
Institute of Chartered Accountants – Ghana in order to take the
following examinations of ICAG. Name: …………………………………………………………………………….
Please tick as appropriate.

ICAG Professional Examinations (CA) Address: ……………………………………………………………………….

Accounting Technicians Scheme West Africa (ATSWA)
I confirm the accuracy of all the information provided above. ……………………………………………………………………………………….

Applicant’s signature: ……………………………………………………… Telephone/Mobile: ………………………………………………………

Date: ………………………………………………………………………………. Profession/Status: …………………………………………………………

P.T.O. for other relevant information

 PAYMENTS AND REQUIREMENTS FOR REGISTRATION AS A CA STUDENT
1. Payment for fees can be made at:

 ICAG House at Okponglo – East Legon, Accra

 Kumasi in the Nyarko Plaza building Ahodwo roundabout
 ICAG Cape Coast Office in the Polytechnic old Administration Bank

or into the following banks:

 Barclays Bank Account No. 0000002149286 High Street Branch.

 Ghana Commercial Bank Account No. 1011130022905 High Street Branch.

The form should be accompanied with a pay-in-slip as evidence of payment.

Registration fees - GH¢120.00 and Annual subscription GH¢120.00.
Account name: The Institute of Chartered Accountants – Ghana.

2. Bank payment Instructions

Please provide the following information to the bank when making payment to
The Institute of Chartered Accountants – Ghana (ICAG):

 Name in full
 Student Registration Number (SRN)
 Purpose of payment should be stated on the pay-in-slip

STUDENTS REGISTRATION REQUIREMENTS

(a) Submission of Application in Person

 Photocopy of any birth identity (passport, national ID, birth certificate, NHIS ID, etc.)
 3 passport size photographs
 Original transcript for graduates
 Original and photocopy of educational certificate(s)

(b) Submission of Application by Post

 Photocopy of any birth identity (passport, national ID, birth certificate, NHIS ID, etc.)
 3 passport size photographs
 Original transcript for graduates
 Photocopy of educational certificate(s) must be CERTIFIED